MRS. KIMBERLY ANN EDWARDS PA-C
NPI 1639444136
Physician Assistant in St Augustine, FL

Active since March 15, 2012PECOS EnrolledAccepts Medicare Assignment
1750 TREE BLVD STE 1, ST AUGUSTINE, FL 32084(904) 824-4005(904) 824-4009 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 29, 2023, Sep 16, 2019 (2 updates tracked since 2019).

About Mrs. Kimberly Ann Edwards Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLY ANN EDWARDS PA-C (NPI 1639444136) is an individual physician assistant in St Augustine, Florida, licensed in Florida (PA9106467) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1639444136
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KIMBERLY ANN EDWARDSCredential: PA-C
Location Address1750 TREE BLVD STE 1St Augustine, FL 32084-5719
Mailing Address15280 Nw 79th CtMiami Lakes, FL 33016-5789 · (305) 558-3724
Fax(904) 824-4009
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 15, 2012
Last NPPES UpdateFebruary 1, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2024
NPI 1639444136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9106467
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1750 TREE BLVD STE 1, St Augustine, FL 32084

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kimberly Ann Edwards Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860723178
PECOS Enrollment IDI20191016003413
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Edwards's NPI number?

The NPI number for Kimberly Edwards is 1639444136. It was assigned to this individual provider in the NPPES registry on March 15, 2012.

Where is Kimberly Edwards located?

Kimberly Edwards practices at 1750 Tree Blvd Ste 1, St Augustine, FL 32084. The listed phone number is (904) 824-4005.

What is Kimberly Edwards's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Edwards enrolled in Medicare?

Yes. Kimberly Edwards is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Edwards accept?

Health plans from Ambetter Health, Ambetter of Alabama and AvMed list Kimberly Edwards as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Edwards was last updated on February 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.